Individual provider · Type 1 NPI

Mark P. Logan, DMD

Periodontics · Longmeadow, MA

NPI number 1760426803 Active

About NPI 1760426803

Mark P. Logan, DMD's National Provider Identifier is 1760426803, issued on Jun 16, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Longmeadow, MA. The record was last updated on Jul 8, 2007.